Inspection on 26/09/08 for 22 Woodlands Road

This inspection was carried out on 26th September 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

22 Woodlands Road 10/10/06

22 Woodlands Road 08/11/05

22 Woodlands Road 23/05/05

22 Woodlands Road 03/03/05

22 Woodlands Road 09/09/04

22 Woodlands Road 24/03/04

22 Woodlands Road 18/11/03

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

Extracts from inspection reports are licensed from CQC, this page was updated on 30/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 22 Woodlands Road 22 Woodlands Road Sonning Common Reading Berkshire RG4 9TE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kate Harrison     Date: 2 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: 22 Woodlands Road 22 Woodlands Road Sonning Common Reading Berkshire RG4 9TE 01189721460 Telephone number: Fax number: Email address: Provider web address: dw@disabilities-trust.org.uk Name of registered provider(s): Name of registered manager (if applicable) Josephine Gatheri Type of registration: Number of places registered: Dysons Wood Trust care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Date of last inspection Brief description of the care home 22 Woodlands Road is a care home which provides long term care for three people with autistic spectrum disorder and learning disabilities. It is an ordinary house in an ordinary residential street. The organisation which runs the home specialises in providing such services. 3 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection of the service was an unannounced Key Inspection. We arrived at the service at 12.20pm and the visit lasted 3 hours. The inspection was a thorough look at how well the service is doing. It took into account detailed information provided by the manager, through the self assessment document called the Annual Quality Assurance Assessment (the AQAA), and any information that we received about the service since the last inspection. We asked the views of the people who use the service and staff members through questionnaires that the Commission had sent out. We spoke to the manager and to the people living in the home. We observed how the people living in Care Homes for Adults (18-65 years) Page 5 of 22 the home respond to staff members, and how staff members approach the individuals living in the home. We looked at individual’s care plans, some of the homes policies and procedures and other records kept in the home. We saw all the shared areas of the home and one individuals bedroom. We looked at how well the service is meeting the standards set by the government and in this report make judgements about the standard of the service. The fees range from GBP 1252 to GBP 1857 per week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 22 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are procedures in place to make sure that the needs of any person admitted to the home are assessed before admission. Evidence: No new individual has been admitted since our last inspection visit in October 2006, so the admission procedures have not been recently tried. The registered manager discussed the homes admission procedures, and said that the interests of the people already living in the home would be considered, as well as the ability of the staff team to meet the needs of the new individual. The needs of the three people living in the home were assessed before admission. Care Homes for Adults (18-65 years) Page 9 of 22 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs of people living in the home are assessed and they are supported to make decisions and take risks. Evidence: We checked the details of one individuals care plan, This is Me, and saw that it was detailed and clear, and is reviewed regularly. The plan showed how the staff team could meet the needs of the individual, and included advice from care professionals. There is a strong ethos in the home of the individuals right to make decisions and to take appropriate risks, and we saw evidence of this during our visit. The care delivered by the staff team is person centred, and they would be able to meet the needs of individuals from different backgrounds and with differing ability. Care Homes for Adults (18-65 years) Page 10 of 22 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have their rights and responsibilities respected, and are supported to take part in the activities they choose. Evidence: Each of the individuals living in the home has a varied programme of activities, according to choice. All have difficulty with communication and the staff team are able to support them manage the activities. All enjoy walking and shopping, two people attend pottery classes and swimming. They are supported to use the community facilities and services, such as the local bus or taxi service, and one person attends a day centre regularly. The home has acquired a new vehicle and the the individuals like to use it for day trips and shopping. The individuals families visit the home regularly, and are encouraged to attend special events such as open days and barbeques. Care Homes for Adults (18-65 years) Page 11 of 22 Evidence: People living in the home have their rights respected by the care staff, who are attentive and mindful of changing needs. There is a second living room, so that individuals who do not want to be with others can use this as they want. The daily routines are flexible and promote independence, so that individuals can live as they want to. The individuals who responded to our survey said that the staff members always treat them well, and always listen and act on what they say. The home has a menu reflecting the choice of the individuals living in the home, and staff help individuals to choose from the daily menu by offering a choice of meal. Some individuals choose to help arrange the dining table for mealtimes, and individuals can eat in the dining room or the living room. The nutritional needs of individuals are monitored and advice sought from a dietician if necessary. Care Homes for Adults (18-65 years) Page 12 of 22 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The personal and healthcare needs of the people living in the home are met. Evidence: The way individuals prefer their personal care to be delivered is recorded, and the staff team is all female, to reflect the preferences of the people living in the home. Support from therapists is available if necessary. All the individuals are registered with a general practitioner (GP), see the GP when necesary and the staff team support individuals to have regular dental checks. The medication for individuals living in the home is kept securely and we checked that all the arrangements to manage the medication were working well. Medication is recorded when received and administered, and staff are trained to manage the homes medication. Care Homes for Adults (18-65 years) Page 13 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported to make their views known through the trained staff members, and are protected from harm. Evidence: The home has a written complaints procedure, and because the individuals living in the home have communication problems, the manager explained that the staff team are alert to a change in an individuals behaviour as a sign they are unhappy. No complaints have been received by the home, and we have received no information about complaints to the home. The AQAA shows that the home has a safeguarding policy and procedure, and all staff members have received training about how to protect the vulnerable people in their care from harm. We have received no information about safeguarding issues at the home in the past year. Care Homes for Adults (18-65 years) Page 14 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable and homely place. Evidence: We saw all shared areas of the home and was allowed by one individual to see her room. All areas were clean and hygienic. The sitting and dining areas are comfortable and homely, and the individuals are encouraged to personalise their own areas. The home has been redecorated and upgraded during the past year, including a new kitchen and new equipment for the kitchen and laundry room. The laundry room is suitable for the needs of the people living there, and the staff team have had training in how to control the spread of infection. Care Homes for Adults (18-65 years) Page 15 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are protected by the homes recruitment and training policies and procedures. Evidence: The home is currently recruiting for two new members of staff, and has two agency staff regularly from a local agency. We checked the recruitment procedure and saw that all the appropriate checks are made to make sure that people are safe to work in the home. There was no information available about Criminal Records Bureau clearance for one agency staff member, but the manager quickly obtained the information from the agency to show that the person was safe to work at the home. The manager is aware that it is her responsibility to make sure that people working at the home are safe to do so, and therefore she needs to have all the necesary information available about agency as well as regular staff. All the staff hold a National Vocational Qualification (NVQ) Level 2 or 3 in Care and the staff supplied through the agency are doing NVQ Level 2. The home has an induction programme to the Skills for Care standards, including a corporate induction programme, and the manager is supported by The Disability Trust to organise further staff training. The results of our staff survey shows that induction and training is good, and that support is available from the manager whenever it is Care Homes for Adults (18-65 years) Page 16 of 22 Evidence: needed. The manager confirmed that all the regular staff have received up to date training on all the key topics about health and safety in the home. Care Homes for Adults (18-65 years) Page 17 of 22 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the people living there. Evidence: The manager gained her Registered Managers Award NVQ Level 4 since the last inspection, and is skilled and experienced in managing the home. She gives good example to the staff team about respecting the rights and responsibilities of people living in the home, and has an open approach to managing the home. She completed the AQAA and returned it to us on time. She has overseen the homes development plan in the past year, resulting in major improvements to the homes environment. The views of families are sought about the quality of the service provided to each individual during annual reviews. Parents and families were invited to an Open Evening during September 2008, and individuals are able to discuss any issues with the manager at a time to suit them. Questionaires were used during 2006 to get the views of the people living in the home, and the organisation is planning to repeat the exercise soon. A responsible person from The Disability Trust visits the home unannounced on a Care Homes for Adults (18-65 years) Page 18 of 22 Evidence: monthly basis to audit the care delivered by the home, and discussed with the manager how the home can improve. The home has a policy statement about maintaining safe working practices and provides training to staff to meet its obligations. The AQAA shows that the maintenance of services at the home is carried out as recommended, and that policies are in place about safety issues, such as fire safety and first aid. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 22 of 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!